Indian Journal of PsychiatryIndian Journal of Psychiatry
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LETTERS TO EDITOR  
Year : 2017  |  Volume : 59  |  Issue : 1  |  Page : 129
Depression in mothers of the mentally retarded patients: Need to look deeper!


Ex. Senior Resident, Department of Psychiatry, AIIMS, New Delhi - 110 029, India

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Date of Web Publication12-Apr-2017
 

How to cite this article:
Bera SC. Depression in mothers of the mentally retarded patients: Need to look deeper!. Indian J Psychiatry 2017;59:129

How to cite this URL:
Bera SC. Depression in mothers of the mentally retarded patients: Need to look deeper!. Indian J Psychiatry [serial online] 2017 [cited 2019 Oct 23];59:129. Available from: http://www.indianjpsychiatry.org/text.asp?2017/59/1/129/204435


Sir,

I read carefully the article by Nagarkar et al.[1] in April–June 2014 issue of this journal which focuses on the prevalence of depression in mothers of the mentally retarded patients. I would like to acknowledge authors for evaluation of such largely unexplored area, especially in the Indian subcontinent in well-conceptualized manner. However, I would like to highlight certain issues which are as follows:
  • Lack of control population: Although it is very much logical to have depression in mothers of mentally retarded patients considering issues attributable to mental retardation, the lack of control populations deter us from concluding to what extent such contributions are responsible in the development of depression in mothers
  • Poor socioeconomic status: In the study, authors reported vast majority (67%) of mothers belong to poor socioeconomic group and family income <Rs. 5000/month. A systematic review by Patel and Kleinman [2] of common mental disorders in developing countries found strong relationships between the prevalence of common mental disorders and indicators of poverty including low educational levels, low income, lack of material possessions, lack of employment, and housing difficulties. Therefore, it would be very difficult to conclude how much these factors are contributing to the development of depression in mothers of mentally retarded patients other than experiencing distress due to irreversibility of the intellectual disability, social stigma, anticipation of future, and caring demand
  • Age of mothers: The authors have not mentioned about the age of mothers. This is important, especially in depression in women due to biologic factors, such hormonal fluctuations during menopausal transition may lead to common mental disorders. Review of longitudinal studies have demonstrated an association between the menopause transition and an increase in depressive symptoms.[3]


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   References Top

1.
Nagarkar A, Sharma JP, Tandon SK, Goutam P. The clinical profile of mentally retarded children in India and prevalence of depression in mothers of the mentally retarded. Indian J Psychiatry 2014;56:165-70.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ 2003;81:609-15.  Back to cited text no. 2
    
3.
Vivian-Taylor J, Hickey M. Menopause and depression: Is there a link? Maturitas 2014;79:142-6.  Back to cited text no. 3
    

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Correspondence Address:
Sagar Chandra Bera
Ex. Senior Resident, Department of Psychiatry, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_215_14

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